Everyone is entitled to his own opinion, but not to his own facts.
--Daniel Patrick Moynihan
Showing posts with label child malnutrition. Show all posts
Showing posts with label child malnutrition. Show all posts

October 19, 2021

Biden’s Housing Plan as a Key to Children’s Futures

 

By David K. Shipler 

                Let’s assume that Senators Joe Manchin and Kyrsten Sinema are decent people, not callous to children in poverty. That would mean that they’re merely clueless. They are not connecting the dots. As they insist on slashing President Biden’s proposed $322 billion in housing subsidies, they cannot possibly understand how much lifelong damage that will do to kids.

                 Biden and the Democratic leaders are trying to break a key link in the chain reaction of poverty. Housing is that link. Without government aid, high rents leave less money for food, leading to malnutrition, parental stress, and disrupted living, all of which can impair brain development in young children. The scientific and social research has been clear on this for decades. Yet the connections are rarely recognized by legislators and officials—and journalists as well—who persistently treat each problem and government program as separate and distinct, with little regard for the web of interactions among the hardships that struggling families face.

                In many parts of the country, the private housing market is brutal for low-wage workers. Nationwide, households in the bottom 20 percent spend a median 56 percent of their income on rent.  The rest of their monthly funds are committed to paying for electricity, water, phone, heat, car loans, and the like. What they can shrink is the part of their budget for food. And without proper nutrition during critical periods of early life, children suffer cognitive impairment that is not undone even if food security is later restored. [See A Hungry Child’s First Thousand Days in Washington Monthly.]

                Stress is also a factor in brain development, researchers have found. Even if a family doesn’t become homeless but lives with constant tension over paying the rent and other bills, the anxiety can be absorbed by children, both in utero and after birth. Imagine—if you can—the anxiety of parents who have too little food for their children, for feeding offspring is a most elemental instinct and duty.

Furthermore, children’s biological and mental health is damaged when families have to move repeatedly or reside in poor housing with lead in the water from old pipes, roaches and mold that trigger asthma attacks, and overcrowding that causes household friction.

                The study of stress has been a significant addition to the understanding of the environmental impacts on the brain, to the point where the Centers for Disease Control and Prevention (CDC) devotes an entire website to updating research on risks and prevention. In its list of what scientists in a seminal study call Adverse Childhood Experiences (ACEs), the CDC includes housing issues along with more obvious traumas such as suffering neglect and witnessing violence or suicide.

May 28, 2021

A Hungry Child's First Thousand Days

 

By David K. Shipler 

                Dr. Megan Sandel, a pediatrician, experiences a troubling revelation whenever she sees a patient in the Boston Medical Center’s Grow Clinic. The clinic seems like a normal health-care facility in an advanced country, she notes: a waiting room, a medical assistant taking a child to be weighed and measured and then into an examining room.

“But that’s where, in some ways, the picture changes,” said Dr. Sandel, the clinic’s co-director, “because when you walk into the room you see this really cute, what you think is a twelve-month old, but it turns out it’s a two-year old. It’s a two-year old who hasn’t outgrown their twelve-month-old clothes yet.” [Listen to Sandel here.]

Even more serious than what you see is what you do not see: the brain of the child during a critical window of cognitive development. And in that largely invisible universe of neurons and synapses, of myelin sheaths and the neurological connections that are supposed to be generating the abundant future of every small person, lifelong damage is being done. The medical diagnoses are “stunting” and “failure to thrive.”

 That is malnutrition in America, which is chronic among the poor and has soared during the pandemic. Its long-term harm will be one of the most severe legacies of Covid-19.

 The usual incidence of what the government calls “food insecurity” ranges from 13 to 21 percent of American households with children, varying with the state of the economy. Most of them are white, although Black and Hispanic families suffer at higher rates. As school meals ended and vulnerable parents lost jobs during the Covid-19 outbreak, the Grow Clinic’s caseload jumped 40 percent. Nationwide, the rate of food insecurity in families with children rose to 29.3 percent last spring and summer from 13.6 percent in 2019, before the pandemic. With the return of some jobs and bursts of government assistance, the level has gradually declined to 17.8 percent, according to a large sample of adults with children in their households, surveyed by the Census Bureau in April. Seven out of ten who reported that they “sometimes” or “often” did not have enough to eat said they simply couldn’t afford to buy more food.

The recent $1.9-trillion American Rescue Plan will help, but not sufficiently or indefinitely. It raises grants by what used to be called food stamps--the Supplemental Nutrition Assistance Program (SNAP)—by up to $100 a month per family. More significantly, the plan’s $3000 to $3600-per-child stipend for one year would re-conceptualize governmental aid if made permanent, evading bureaucratic red tape by providing direct cash payments. Medical professionals say that getting money into parents’ pockets is the best way to treat children’s malnutrition.

Without broader policy overhauls, though, food insecurity seems likely to remain both a result and a cause of hardship, a key link in the middle of a complex chain reaction. For poor families without government housing subsidies, for example, rent on the private market can soak up 40 to 60 percent of income. Paying rent is not optional. The bills for electricity, water, heat, phone, and car loans cannot be ignored. The part of the budget that can be squeezed is the part for food. And that’s what happens.

April 3, 2021

America Hurtles Forward--and Backward

 

By David K. Shipler 

                According to Sir Isaac Newton’s third law, for every action there is an equal and opposite reaction—a principle of physics, of course, but also true in politics and policy, at least currently in the United States. The country is moving in two directions simultaneously, as if two revolutions in thinking and practice are taking place, one progressing into a new era mobilizing government for economic and social reform, the other pushing hard into an old indifference to social injustice marked by blatant racial and class discrimination.

                Although the two revolutions frame their respective arguments around the size and role of government, they are driven by more fundamental clashes of concept. At root is the question of how inclusive a democracy should be, what problems it can solve, how the common good should be defined, and how near or distant the horizon of vision should be drawn.

Joe Biden, the 78-year-old Washington insider, did not raise radical expectations when he took office just over two months ago. He was forecast as a caretaker president who would decompress the political atmosphere with boring normalcy. Instead, he has quickly emerged as the unlikely catalyst of the most imaginative Democratic movement in at least a generation, perhaps since the New Deal of Franklin Delano Roosevelt. His aspirations are broad and intensely sophisticated, forming an agenda that would apply expansive ideals in mobilizing the nation’s expertise and financial power against the most vexing problems of race, class, health, education, climate, environment, energy, communication, low-paid work, elderly care, aging transportation networks, and just about every other failure in the American landscape.

The opposite revolution would leave all the failures in place, unresolved, and would add to them. It is more than a counter-revolution, led by Republicans who have become more than the Party of No. They go beyond saying no to every advance—no eased voting, no true help for malnourished children, no cleaner air or water, no safer workplaces, no better health care, no sufficient funding for schools, no mandatory wages high enough to support families. The new Republicans—for they are new in the history of the Republican Party—do not merely stand still and block. They are moving at speed back in time.